MEDICARE: CHRISTOPHER BROOKS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1083562912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER BROOKS

Provider Business Mailing Address
First Line	:	103 MAIN AVE S STE 205
Second Line	:
City	:	NORTH BEND
State	:	WA
Zip	:	98045-8197
Country	:	US
Telephone Number	:	425-954-6538
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 MAIN AVE S STE 205
Second Line	:
City	:	NORTH BEND
State	:	WA
Zip	:	98045-8197
Country	:	US
Telephone Number	:	425-954-6538
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	04/21/2026

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Directions to “ CHRISTOPHER BROOKS ” Practice Location

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